Chicago Med (2015) s05e19 Episode Script
Just a River in Egypt
That day, when I found out
I couldn't have children
You pushed me away and ran
into another man's arms.
This is Auggie,
one of my students.
I haven't been able to
reach his foster mom.
It's too much, and I can't.
They don't want the sick kid.
DCFS is gonna start looking
for a new foster placement tomorrow.
And we'll spend the night with Auggie.
You wanna come up?
I just wonder if that's a good idea.
There's actually very little difference
between drug addiction
And romance addiction?
Let's go up and discuss it.
Did you really use all of my floss?
I told you,
if we're gonna keep doing this,
I need a toothbrush.
I don't know.
I feel like it gives a guy
too great a sense of security.
Or does it just prevent cavities?
No, that is a gateway toiletry.
And before I know it, you're gonna
have your own curling iron here.
You'll have your own loofah.
You've clearly given this
a great deal of thought.
Maybe a little bit.
It's been a really good couple of weeks.
Yeah, it has.
And not just us.
I mean, you been knocking
it out of the park.
I mean, work, everything, rehab.
I'm really proud of you.
Just so you know,
the more you kiss me,
the more it makes me think
I should get you that toothbrush.
- Oh, yeah?
- Mm-hmm.
- Yeah.
- Hmm?
So what's nice is, as we
progress through the surgery,
we can slide the retractor down.
There you go.
Go ahead and bring that blade down.
Now, you wanna keep the most tension on,
- so go ahead and tighten it up.
- Hey, April.
Never mind.
Ethan!
Ethan. Hey.
He was just showing me
some new equipment.
I'm sure he was.
I'm his Hybrid OR nurse.
You know that.
- Learning is part of the job.
- Right.
What is this?
You're sleeping on the couch?
You want nothing to do with me?
Why do you care?
- Dr. Marcel, I'm sorry.
- No, it's all good.
I gotta deal with some inventory anyway.
We'll finish up later.
- Morning, Dr. Manning.
- Morning, Crockett.
- How's your day?
- Great.
You realize you
say that every day?
Every day is great.
We got two traumas coming in.
Dr. Choi, you're going to two.
Dr. Marcel, take her to Baghdad.
Copy.
What do we got?
Zach Brand, 15.
Says he fell off an overpass.
Is that true? You fell?
Fractured his left arm.
He's got a pretty good
bruise on his head.
GCS 13, pressure and
heart rate are good.
All right, Zach. Any of this hurt?
All right, he looks stable.
Let's get a chest X-ray and
a pan scan just to be safe.
Let's get ready to transfer.
Oh, wait a second.
Zach, where did this glass come from?
Zach?
Hey, we'll figure this out. All
right, let's transfer on my count.
Ready? One, two, three.
I've got Terrie Cross,
intubated in the field.
Status post MVC, car versus divider,
GCS 3T, BP 95/60,
heart rate 130s, satting at 86%.
Yeah, I'm not liking this rhythm.
Get me an EKG with
tropes and trauma labs.
- Let's go.
- She's coding.
No pulse.
Get him up for those scans.
I'll check in as soon as you're back.
Here we go.
Come on, folks. We know what this is.
- What's up?
- She's in V-fib. Let's go.
On my count.
One, two, three.
Give me the paddles. Charge to 200.
This could be
a blunt cardiac arrest.
Charged.
Open it up.
Clear.
I got a pulse.
- Sinus tach.
- For now.
- What happened?
- Single-vehicle crash.
Any drugs or alcohol on board?
Rapid tox was negative.
Why'd she hit the median?
Stroke, seizure?
Wait, wait, wait. She's
got glass shards on her.
So does the kid in Trauma 2.
It's from her windshield.
- How do you know?
- He fell off an overpass.
And landed on her.
No breath sounds on the left.
- Let's set her up for a chest tube.
- What do you got?
Some fluid on the right, but
I can't find her spleen.
What do you mean can't find it?
I mean it's not there.
It's gotta be in there somewhere.
Go back up.
Right there.
That's the tip.
Can't be. It's too high.
That's right, 'cause it's in her chest.
All right, she must have
ruptured her diaphragm.
- Chest tubes ready.
- No, she's hypotensive.
- We're going to the Hybrid OR now.
- No, no, no, no. Stop.
If it's a tension pneumo,
we can't move her
till we decompress the lung.
There's no time. I'll do it in the OR.
Let's go. Come on.
Easy, easy.
We just wanted
to come say a quick hello
before we finished up the paperwork.
Of course.
Maggie, Madeline's found
foster parents for Auggie.
That's great. He can't wait
to get out of the hospital.
So
What a sweet kid.
He is.
Except when he doesn't get
his Nutella for breakfast.
Oh, and he doesn't like
anything but bubblegum toothpaste.
No fruit flavors and
definitely not mint.
As you can see, Maggie
has become quite attached
in the past couple of weeks.
We know how it is.
We've been fostering for 12 years.
Auggie is going
to a loving family.
So let's cross the Ts, dot the Is.
Hopefully, you'll be able
to take him home tonight.
Who's winning?
We both have 16 life points left.
But as soon as my Jace
uses his Ultimate,
he's toast.
I have no idea what's going on.
So what did you think of those people?
- They're nice.
- Yeah?
I'm sorry, you two,
but I gotta get to school.
- Finish this later?
- Wanna drag it out?
Mm
I'm good.
Okay, honey.
Keep an eye on this guy.
Oh, I will.
You mind if I take a look?
- Okay.
- Yeah?
Ooh.
- Your tummy hurt?
- Mm-hmm.
You getting cold?
You know what I'm gonna do?
I'm gonna ask my friend Dr. Manning
to come and take a look at you,
just to make sure
everything's all right.
Okay.
Meanwhile, why don't you get some rest?
And when Mr. Campbell comes
Don't go easy on him.
Hey, Zach.
So we got your scans back.
Good news. It's just a simple fracture.
Okay.
And your parents are on their way.
Mind if I check your eyes?
So
how did you go over the
edge of that overpass?
The railing was kinda low,
I guess.
Okay.
But, uh
I mean, were you fooling
around with your friends?
You lose your balance?
Could could we do this later?
My my head really hurts.
Sure.
But I do wanna make
sure that you're okay
and that something like
this doesn't happen again.
So
I'll have another doctor come in
and see you in a bit, okay?
Maybe you'll feel up to talking then.
I have to ask.
Do I think he jumped? Yeah, I do.
We're out looking
for witnesses now,
but if he did jump,
we'll have to arrest him
for vehicular endangerment
- and possibly manslaughter.
- Easy, Rosado.
If Zach attempted suicide,
first thing that happens,
we put him on a psych hold.
Hey, Trini.
Call Dr. Charles. Tell
him we need a consult.
What do we got?
Marcie Burton, 19 weeks pregnant
with mild vaginal
bleeding, vitals stable.
Okay, thanks.
I called the ambulance
just to be safe.
Good. Hi, Marcie.
I'm Dr. Halstead. This
is student doctor Curry.
I'm not losing the baby, am I?
We're gonna take a look right now.
When did the bleeding start?
This morning. It wasn't
much, but it hasn't stopped.
This will be a little cold.
Is it moving?
Is it okay?
Well, the fetus is fine,
but you do have placenta previa.
- Is that bad?
- It depends.
It could be if the bleeding gets worse.
Then you need to stop it.
We are certainly gonna
do everything we can
I have brain cancer.
I'm sorry?
Stage IV.
Which means this is my last
chance to have a family.
How long ago were you diagnosed?
Eight months.
Though her tumor's
been stable lately,
and the scans have been good.
Ron.
I don't have time to
start another pregnancy.
And my baby will be viable
in just a few more weeks.
So please, help me.
Okay.
Let me go over your chart
and have obstetrics come
down and take a look.
And we'll figure out
where to go from there.
Thank you.
Call Dr. Asher.
Dr. Asher? What are you sure?
Yeah.
She's the best.
He has a GI bleed
and his liver's getting worse.
What are you gonna do?
Send him for a TIPS procedure.
You think he needs
something that invasive?
Any more damage moving
forward will be irreversible.
Sooner we can take the
pressure off his vasculature,
the better.
He was really hoping to go home
with his new family today.
TIPS has a pretty quick recovery.
Maybe tomorrow?
Yeah.
- I'm gonna call over to IR.
- Okay.
Thanks.
Rhythm's not great. We gotta move.
I'm on it.
I need better exposure.
Okay, you remember how I showed
you to insert the larger blade?
Yes, I do.
No, slide it all the way.
Okay.
Loosen it up, loosen it up.
- Okay, got it.
- Okay, good.
Let's do this.
Nope, I need a better angle.
Okay. How do I know
Okay, hold on. Switch with me.
She's not gonna hold out if you
can't get this going soon.
Yeah, I gotcha, Marty.
Okay.
Here we go. Don't let go.
- Sorry, Dr. Marcel.
- Don't sweat it.
Just get a 2-0 ready for the diaphragm.
One, two, three.
- Dr. Marcel.
- Yeah.
I think you should start training
a new nurse for the hybrid room.
- What are you talking about?
- I slowed you down today.
No, hey, it was a tough case
with new equipment.
No, it was because
of the whole thing with Ethan.
It got in the way.
And there's no excuse for that.
Look, April, you're my nurse.
And you're the best.
I'm not gonna train anyone else.
Okay?
Okay.
Dr. Choi, Zach's parents are here.
He fell off the overpass?
How is he?
- Is he all right?
- Zach has a broken arm
that he's getting cast right now.
But otherwise, just some
scrapes and bruises.
Oh, thank God.
Mr. and Mrs. Brand,
I'm Dr. Charles.
I haven't actually met Zach yet,
but I was looking forward
to saying hello in a few minutes.
Psychiatry I don't understand.
I just wanna ask him
a few questions,
get a better sense of what happened.
What does that mean?
Well, uh, just that.
Wait don't tell me
you think he jumped.
Based on Dr. Choi's assessment,
it seems like there
might be a possibility.
And so I just
I wouldn't be doing my job if I didn't
say a quick hello.
- Oh, my God.
- Honey, no, no.
That's ridiculous.
It's those kids he hangs out with.
They're wild.
They were probably goofing around
and it went too far.
Mm, very possible.
But it's not so easy
to accidentally fall off
one of those things.
You know what?
I bet he got pushed
by that homeless guy.
- Yeah.
- Homeless guy?
Yeah, there's this man
who stands on that overpass
screaming all day.
He's psychotic and dangerous.
Huh. Okay.
Well, uh, I'm sure the
police will look into that.
But in the meantime, we
just wanna make sure
we're not missing anything.
Zach could've died today, okay?
The last thing he needs is to
be interrogated by a shrink.
Now, which one's his room?
Treatment 5.
Are we gonna have a hard time with them?
The dad? Yeah.
The mom? Not so sure.
Hey, Mom.
Hey.
Okay.
Michael.
Tell me.
Meet the newest
clinical device specialist
for Kender Bio Systems!
- You got the job.
- Yeah.
Joining the Kender team right here.
- Here at Med?
- Mm-hmm.
Given the size of the contract,
they need more people.
That's wonderful.
Mom, I know you always
wanted me to be a doctor.
Michael, I just wanted you
To be happy.
I know, but believe me.
Kender's training is like
going to med school.
I'll know more about the
devices than the docs.
And I'll be in the OR
right alongside them.
I'm so proud of you.
Oh, I gotta hook up
with my supervisor.
- Take you to lunch?
- It's a date.
All right.
Zach, how you doing?
I'm Dr. Charles.
He's a psychiatrist.
Legally, we have to let him talk to you.
Harris.
I'm really just here
to help, Zach,
and was hoping to ask you
a few quick questions
about what happened today.
O-okay.
Okay, so this morning,
you left your house.
And where were you headed?
Nowhere, I was just taking a walk.
Okay.
By yourself?
- Yeah.
- Okay.
Got it.
So you get to this overpass and
and what happened then?
Tell him about
that homeless man, Zach.
Like you told us.
Yeah, there was
There was this guy who was yelling
and acting crazy.
Right.
And, uh, he started shoving me,
and I tried to get out of the way,
but he he wouldn't stop, and
before I knew it, I
I lost my balance.
All right.
Well, um
you know, Zach's been
through a lot today.
Has anybody asked him if
he wants anything to eat?
- No.
- No?
Are you hungry, buddy?
How about a sandwich?
- Maybe maybe turkey.
- Okay.
Um, why don't we get going on that?
And then when we get back,
maybe we can talk a
little bit more, okay?
Nice to meet you, Zach.
Thank you.
You know his parents
coached him to say that.
Are they worried he's
gonna get arrested?
Probably.
Look, even if Zach
won't admit he jumped,
we gotta put him on a psych hold
for his own good.
Forced hold?
Taking a minor away from his parents
is a very high bar to clear, you know?
More importantly, it doesn't
really tend to work
unless you get buy-in
from the whole family.
We can't let a suicidal kid
walk out of here.
I hear you.
Look, let's see what a turkey
sandwich gets us, okay?
Moms love to see their kids get fed.
Her cervix isn't handling the
weight of the growing fetus
and is starting to open up.
She's already dilated one centimeter.
Then she's going
to lose the pregnancy.
Maybe not. I'd like to
try her on progesterone,
see if we can stop her
from dilating any farther.
Wait, is that safe?
I mean, given her increased chance
of infection and bleeding?
This is a unique situation,
due to her limited time frame.
This pregnancy is very important to her.
I'd like to try and save it.
Okay, then. Thanks.
Dr. Halstead,
I've read the literature
on cervical insufficiency with bleeding
in high-risk patients,
and trying to intervene
is not the standard of care.
Dr. Asher is the specialist.
I trust her.
She's had a drug problem.
That is irrelevant.
You're way out of line, Ms. Curry.
He's cold.
And he's getting a
little short of breath.
What's taking IR so long to
get him down for his TIPS?
They're always backed up.
I'll give them a call.
Wait, he's not even
on the schedule.
What?
I put the order in an hour ago.
Uh-uh, it says he's
been denied by DCFS.
- Can they do that?
- I don't know.
Come on.
Madeline
If this is about Auggie,
I'm sorry.
But until the Kramers
get final approval,
the state is still
Auggie's legal guardian.
He's getting worse. He needs this.
According to the Illinois
health service protocols,
TIPS is only indicated
if two other previous treatments fail.
That's just a guideline.
Every patient is different.
Which is why I've
already escalated this
to a physician mediator
appointed by the state.
That's gonna take days.
He needs this now!
Look, he's at risk for
encephalopathy, peritonitis
I understand
Madeline, he needs someone
to advocate for him.
And I'm trying my best.
There's nothing else I can do.
Dr. Lanik, do you remember
Auggie Roberts?
Foster kid. Sure.
He's getting worse.
I was wondering, could you write a note
saying that he'd do well to
receive a TIPS procedure?
Well, he's upstairs now. Get
his pediatrician to do it.
She did, but there's
some red tape.
I thought if we had a double doc,
we could convene an ethics
committee and we could
Oh, so my quick note
is turning into an afternoon
- in front of a committee?
- Dr. Lanik
Maggie, I have patients to see.
And you have a waiting room
full of them to process.
Three centimeters,
you're still progressing.
So what do we do now?
Well, we can try
increasing the progesterone,
give you a little more time to
see if we can turn this around.
- I agree.
- Are you sure?
The longer we wait,
the greater the chance of
a serious complication.
I don't believe we're there yet.
What do you think we should do?
Terminate the pregnancy.
At this point, it's the safest option.
What? No.
Ms. Curry is a medical
student, not a doctor.
I need to have this baby!
So my husband can have someone
to love him as much as I do
and someone he can love.
If I can have that
then I'm okay to die.
We'll increase your meds
and check back in a little bit.
You gonna get your nose
out of that laptop?
I'm sorry, Mom.
I just got so much prep to do.
Let me ask you, Dr.
Latham, CT surgeon
You know if he's into
anything, any hobbies?
No, not really.
We don't socialize.
A lot of CT surgeons
are into cars.
You know, vintage, racing?
Yeah, that doesn't sound
like Dr. Latham.
How about Dr. Abrams?
I hear his wife makes
some kind of power drink.
- Is he a gym rat?
- Why are you asking this?
Well, I'm gonna
be working with these guys.
It'd be nice to have
something to talk about.
Well, what about the medical
devices they'll be using?
Well, that's a given.
But you know how touchy
these surgeons can be.
Since I'm gonna be coaching them,
I want to establish a rapport.
Well, our surgeons
are at the top of their game.
I doubt if they need any coaching.
Sure.
It's just, we have a lot
of exciting new products
I'll be introducing them to.
And, you know, business is
all about relationships.
I'm sorry, Dr. Charles,
but the Brands' lawyer is here,
and apparently you can't speak to Zach
until legal gets it straightened out.
Mr. and Mrs. Brand,
just wanna let you know
the field officers have
completed their investigation.
Did they find that homeless man?
No. In fact, we couldn't
find any eyewitnesses at all.
So Zach can go?
Well, hold on.
There's still one more witness,
- the woman who was driving the car.
- Oh, for God's sake.
Are you just trying to
get my son arrested?
No, I'm trying to get him
the help he needs.
Mr. and Mrs. Brand,
if it turns out
that Zach did in fact jump,
then I would be able
Hopefully with your blessing
To put him on a hold and we
can start to address this.
He would likely be charged.
But I will personally advocate for him
and, under the circumstances,
can practically guarantee
he would not be prosecuted.
My son is not suicidal.
The driver's still unconscious.
If she wakes up, we'll
question her then.
But in the meantime, I can't
keep him here any longer.
I gotta let him go.
Thank you.
Rosado
don't let them leave just yet.
I'll be right back.
Crockett, I need you
to wake her up.
What? Why?
The boy needs our help.
All right, she's our only chance.
If she confirms he jumped,
we can give him the help he needs.
Yeah, I'm sorry. She's not ready.
Why not? Huh?
She's overbreathing the vent.
Her vitals are stable.
I just rebuilt her diaphragm
and her belly's open.
- She's not there yet.
- Come on, man.
You're telling me you can't lighten
her sedation for five minutes?
If I wake her up now, she could
still go into metabolic crisis.
And if you don't, there's
a severely troubled kid
who can't get the help he needs.
Well, I don't know
what to tell you, man.
But I'm gonna do what's
best for my patient.
If that boy tries
to kill himself again
That's on you.
His pressure's dropping.
We need more suction, blood,
and drugs to intubate.
What happened?
He was coughing, and then he just
started throwing up blood.
Esophageal varices.
The pressure must've opened one up.
Auggie, I need you to calm down, okay?
We're gonna take good care of you.
Auggie. Auggie, listen to me.
- No!
- Auggie.
- Drugs are in.
- I know this is scary.
But you're so brave.
I need you to be brave
just a little bit longer.
Can you do that for me?
- All right.
- He's out.
I'm in. Bag him.
All right, let's get him
up to the IR for a TIPS.
Let's go.
It's emergent now. No need for consent.
- What do you think?
- Dr. Asher, Dr. Halstead!
Oh, oh, okay.
She's losing the pregnancy.
Marcie, I'm sorry, but we
need to get the fetus out now.
- No, no!
- Marcie.
It's okay. It's okay.
Dr. Halstead,
please don't let my baby die.
Hannah.
Okay, we could try
what's called a cerclage.
It's a procedure to tie
your cervix closed.
But in your case, we would have to go
- in through the abdomen.
- What?
With the placement of her
placenta and her bleeding,
that would be extremely risky.
How risky?
Well, the chances of
catastrophic bleeding are high.
Not to mention the significant
cardiac risks of anesthesia.
It's true.
There's no guarantee at all
that you would survive this.
Hon, that sounds like a bad idea.
Do it.
Marcie, we can always try again.
No, we can't! You know that.
Do it!
All right, let's go. Come on.
Marcie, no!
I love you.
That's why I have to do this.
- Come on.
- Elsa, call the OR.
Dr. Halstead, this is crazy.
I'm sorry. That woman is gonna die.
That's a risk
she's willing to take.
What are you doing this
because of your feelings for Dr. Asher?
Call the OR now.
Please, it is a mistake
to send Zach home.
I believe your son is depressed.
Depressed? I hate that word.
It's just an excuse for weakness.
Our son is not weak.
Dr. Charles.
I think that we have said
everything there is to say, Dr. Choi.
Unless, of course, there's something
that either of you feel like
you you might have left out.
Her vitals look good.
How's her rhythm been?
Stable.
Dr. Marcel was talking about
lightening her sedation.
Yeah, I'll take care of it.
Don't try to talk.
You're intubated in the hospital.
You're safe.
I just need to know.
Did you see the boy who
landed on your car?
Okay.
Did he get pushed
Or did he jump?
Please.
Just think.
You were driving toward the bridge.
He was on it.
You saw him.
Did he jump?
Okay.
Mr. Brand, uh, we forgot
to validate your parking.
Come with me.
I'll be right back.
Mrs. Brand.
I think that your son needs help.
Now, I recognize
that your family situation
is complicated.
And I can't imagine how
challenging that must be
under the circumstances.
But listen. Here's my card.
I hope you will call me anytime
of the day or night.
All right?
The only thing that you don't wanna do
is let your son go through this alone.
Thank you.
Okay.
Oh, hey. How's he doing?
He finally got his procedure,
no thanks to you.
Maggie.
You know that under the circumstances,
I did everything I could.
Did you?
Because it took him hemorrhaging
for him to get this.
I can see the cervix.
Hold it gently so I can get it isolated.
Mm-hmm. It's bleeding.
It's too vascular. Laps to me.
Give her a gram of TXA.
Still bleeding. More laps.
Pressure's dropping.
We may need
to terminate the procedure.
Watch her rhythm.
She's throwing PVCs.
I think we need to call it.
Switch to a hysterotomy.
No, no, no.
Her water's still intact,
and we've got plenty
of blood in reserve.
- We can still do this.
- Are you sure?
Yes.
Okay. Talk me through it.
Release the laps so I can
get some celox in there.
Lap?
All right, it's working.
Bleeding's slowed.
Okay, hold it steady
so I can get it packed.
We did it. How's she look?
BP is coming back up,
but I still can't shake
these irregular beats.
Okay, then we're not
out of the woods yet.
Let's get ready to place the stitch.
Where is he?
Where is he?
You got a lot of nerve
interfering with my patient!
I had to. The boy needed help.
The boy. Don't kid yourself.
This wasn't about him. It was about me.
The hell it was.
You've been pushing
against me all day, man.
- Because you deserved it.
- Oh, come on!
You know what this is about.
It's about April.
No, you don't wanna go there.
No, I wanna end this.
So what's it gonna take?
You need to hit me? That it?
Huh, big man? Go on.
Take your best shot!
There it is.
There it is.
Okay, and snip.
Okay, cerclage is complete.
Ready to close.
Her pressure's dropping
and she's got ectopy.
I don't see anything.
It's here. She's hemorrhaging!
- The placenta.
- We need to terminate the pregnancy.
Trigger the MTP and convert
to a hysterotomy now.
- What do you need?
- Cut the cerclage.
She's in V-fib.
Damn it, give me a scalpel!
Start CPR!
Starting compressions.
Charged.
- Placenta out.
- Charge to 200.
Get some blood in her.
Charged.
All right, clear.
Still in V-fib.
- No pulse.
- Charge to 200.
Give her an amp of epi!
Charged.
Clear!
Come on, give another amp of epi.
Charge to 200!
Hannah.
What are you waiting for?
Shock her!
She bled out.
Time of death: 18:04.
Hannah.
Oh, boy.
You, uh
you all right?
Did Zach leave?
Uh, yeah.
You know, I was finally able
to talk to his mom alone.
Poor thing. I don't know.
She did take my card.
I don't get it.
The boy's so deeply troubled,
but the dad just doesn't wanna face it.
Well,
you know, maybe it's just
easier for him to focus
his anxiety and anger elsewhere
rather than face the
pain of looking at the
The real problem, you know?
Anyway
see you tomorrow.
Now the Amulet of Krogg.
What do I do with it?
No, it's Kroog.
Kroog.
Okay. I'll be right back.
And I'm gonna beat you.
Is he going to be okay?
Now, at least.
Good.
But I'm afraid I've got some bad news.
The foster family backed out.
They felt he would just
be too much to handle.
So he'll have
to go back on the list?
I'm afraid so.
I'm sorry.
Sharon.
Yeah?
We'll do it.
We'll foster him.
Maggie, you don't have to do
No.
We want to.
Are you sure?
Okay. I'll let DCFS know.
Mr. Burton.
I'm so sorry.
My wife made it very clear
what she wanted.
Thank you for honoring her wishes.
I always knew this day would come.
But still
it's so hard.
Hey, Hannah.
Today was a tough one.
But you made the right decision.
Yeah, but
doesn't make it any easier.
I need
I need to go to an NA meeting.
Okay.
I'll drive you.
Hey, Mom. I'll see you tomorrow.
Ah. See you tomorrow.
Dr. Lanik.
Hey, Michael.
Your son is a good salesman.
Yeah?
Yeah, he somehow knew
I was a scotch drinker.
Gave me this great
bottle of single malt.
Your eye okay?
Yeah, I'll live.
So you sure have been
making a lot of new friends
since coming over to the day shift.
Yeah. That's what I do.
Make friends.
Are you okay, Crockett?
Oh, yeah.
That lidocaine works fast.
- That's not what I meant.
- I know what you meant.
Let's just keep it at the lidocaine.
Really?
You hit him?
You know,
the thing is, April
It was so easy for me
to see Crockett as the problem.
Yeah, and I told you.
Whatever happened between
me and him in the past
Yeah. I know.
I get it now.
Because the real problem
was always right here.
Between us.
April, whatever it is you want
It isn't me.
Ethan, that's not true.
What are you
Where are you going?
What are the bags for?
- I'm gonna find a hotel.
- No!
Ethan, stop! Listen.
Just just take as long as
you need to find a new place.
What? Ethan!
Oh, God.
I couldn't have children
You pushed me away and ran
into another man's arms.
This is Auggie,
one of my students.
I haven't been able to
reach his foster mom.
It's too much, and I can't.
They don't want the sick kid.
DCFS is gonna start looking
for a new foster placement tomorrow.
And we'll spend the night with Auggie.
You wanna come up?
I just wonder if that's a good idea.
There's actually very little difference
between drug addiction
And romance addiction?
Let's go up and discuss it.
Did you really use all of my floss?
I told you,
if we're gonna keep doing this,
I need a toothbrush.
I don't know.
I feel like it gives a guy
too great a sense of security.
Or does it just prevent cavities?
No, that is a gateway toiletry.
And before I know it, you're gonna
have your own curling iron here.
You'll have your own loofah.
You've clearly given this
a great deal of thought.
Maybe a little bit.
It's been a really good couple of weeks.
Yeah, it has.
And not just us.
I mean, you been knocking
it out of the park.
I mean, work, everything, rehab.
I'm really proud of you.
Just so you know,
the more you kiss me,
the more it makes me think
I should get you that toothbrush.
- Oh, yeah?
- Mm-hmm.
- Yeah.
- Hmm?
So what's nice is, as we
progress through the surgery,
we can slide the retractor down.
There you go.
Go ahead and bring that blade down.
Now, you wanna keep the most tension on,
- so go ahead and tighten it up.
- Hey, April.
Never mind.
Ethan!
Ethan. Hey.
He was just showing me
some new equipment.
I'm sure he was.
I'm his Hybrid OR nurse.
You know that.
- Learning is part of the job.
- Right.
What is this?
You're sleeping on the couch?
You want nothing to do with me?
Why do you care?
- Dr. Marcel, I'm sorry.
- No, it's all good.
I gotta deal with some inventory anyway.
We'll finish up later.
- Morning, Dr. Manning.
- Morning, Crockett.
- How's your day?
- Great.
You realize you
say that every day?
Every day is great.
We got two traumas coming in.
Dr. Choi, you're going to two.
Dr. Marcel, take her to Baghdad.
Copy.
What do we got?
Zach Brand, 15.
Says he fell off an overpass.
Is that true? You fell?
Fractured his left arm.
He's got a pretty good
bruise on his head.
GCS 13, pressure and
heart rate are good.
All right, Zach. Any of this hurt?
All right, he looks stable.
Let's get a chest X-ray and
a pan scan just to be safe.
Let's get ready to transfer.
Oh, wait a second.
Zach, where did this glass come from?
Zach?
Hey, we'll figure this out. All
right, let's transfer on my count.
Ready? One, two, three.
I've got Terrie Cross,
intubated in the field.
Status post MVC, car versus divider,
GCS 3T, BP 95/60,
heart rate 130s, satting at 86%.
Yeah, I'm not liking this rhythm.
Get me an EKG with
tropes and trauma labs.
- Let's go.
- She's coding.
No pulse.
Get him up for those scans.
I'll check in as soon as you're back.
Here we go.
Come on, folks. We know what this is.
- What's up?
- She's in V-fib. Let's go.
On my count.
One, two, three.
Give me the paddles. Charge to 200.
This could be
a blunt cardiac arrest.
Charged.
Open it up.
Clear.
I got a pulse.
- Sinus tach.
- For now.
- What happened?
- Single-vehicle crash.
Any drugs or alcohol on board?
Rapid tox was negative.
Why'd she hit the median?
Stroke, seizure?
Wait, wait, wait. She's
got glass shards on her.
So does the kid in Trauma 2.
It's from her windshield.
- How do you know?
- He fell off an overpass.
And landed on her.
No breath sounds on the left.
- Let's set her up for a chest tube.
- What do you got?
Some fluid on the right, but
I can't find her spleen.
What do you mean can't find it?
I mean it's not there.
It's gotta be in there somewhere.
Go back up.
Right there.
That's the tip.
Can't be. It's too high.
That's right, 'cause it's in her chest.
All right, she must have
ruptured her diaphragm.
- Chest tubes ready.
- No, she's hypotensive.
- We're going to the Hybrid OR now.
- No, no, no, no. Stop.
If it's a tension pneumo,
we can't move her
till we decompress the lung.
There's no time. I'll do it in the OR.
Let's go. Come on.
Easy, easy.
We just wanted
to come say a quick hello
before we finished up the paperwork.
Of course.
Maggie, Madeline's found
foster parents for Auggie.
That's great. He can't wait
to get out of the hospital.
So
What a sweet kid.
He is.
Except when he doesn't get
his Nutella for breakfast.
Oh, and he doesn't like
anything but bubblegum toothpaste.
No fruit flavors and
definitely not mint.
As you can see, Maggie
has become quite attached
in the past couple of weeks.
We know how it is.
We've been fostering for 12 years.
Auggie is going
to a loving family.
So let's cross the Ts, dot the Is.
Hopefully, you'll be able
to take him home tonight.
Who's winning?
We both have 16 life points left.
But as soon as my Jace
uses his Ultimate,
he's toast.
I have no idea what's going on.
So what did you think of those people?
- They're nice.
- Yeah?
I'm sorry, you two,
but I gotta get to school.
- Finish this later?
- Wanna drag it out?
Mm
I'm good.
Okay, honey.
Keep an eye on this guy.
Oh, I will.
You mind if I take a look?
- Okay.
- Yeah?
Ooh.
- Your tummy hurt?
- Mm-hmm.
You getting cold?
You know what I'm gonna do?
I'm gonna ask my friend Dr. Manning
to come and take a look at you,
just to make sure
everything's all right.
Okay.
Meanwhile, why don't you get some rest?
And when Mr. Campbell comes
Don't go easy on him.
Hey, Zach.
So we got your scans back.
Good news. It's just a simple fracture.
Okay.
And your parents are on their way.
Mind if I check your eyes?
So
how did you go over the
edge of that overpass?
The railing was kinda low,
I guess.
Okay.
But, uh
I mean, were you fooling
around with your friends?
You lose your balance?
Could could we do this later?
My my head really hurts.
Sure.
But I do wanna make
sure that you're okay
and that something like
this doesn't happen again.
So
I'll have another doctor come in
and see you in a bit, okay?
Maybe you'll feel up to talking then.
I have to ask.
Do I think he jumped? Yeah, I do.
We're out looking
for witnesses now,
but if he did jump,
we'll have to arrest him
for vehicular endangerment
- and possibly manslaughter.
- Easy, Rosado.
If Zach attempted suicide,
first thing that happens,
we put him on a psych hold.
Hey, Trini.
Call Dr. Charles. Tell
him we need a consult.
What do we got?
Marcie Burton, 19 weeks pregnant
with mild vaginal
bleeding, vitals stable.
Okay, thanks.
I called the ambulance
just to be safe.
Good. Hi, Marcie.
I'm Dr. Halstead. This
is student doctor Curry.
I'm not losing the baby, am I?
We're gonna take a look right now.
When did the bleeding start?
This morning. It wasn't
much, but it hasn't stopped.
This will be a little cold.
Is it moving?
Is it okay?
Well, the fetus is fine,
but you do have placenta previa.
- Is that bad?
- It depends.
It could be if the bleeding gets worse.
Then you need to stop it.
We are certainly gonna
do everything we can
I have brain cancer.
I'm sorry?
Stage IV.
Which means this is my last
chance to have a family.
How long ago were you diagnosed?
Eight months.
Though her tumor's
been stable lately,
and the scans have been good.
Ron.
I don't have time to
start another pregnancy.
And my baby will be viable
in just a few more weeks.
So please, help me.
Okay.
Let me go over your chart
and have obstetrics come
down and take a look.
And we'll figure out
where to go from there.
Thank you.
Call Dr. Asher.
Dr. Asher? What are you sure?
Yeah.
She's the best.
He has a GI bleed
and his liver's getting worse.
What are you gonna do?
Send him for a TIPS procedure.
You think he needs
something that invasive?
Any more damage moving
forward will be irreversible.
Sooner we can take the
pressure off his vasculature,
the better.
He was really hoping to go home
with his new family today.
TIPS has a pretty quick recovery.
Maybe tomorrow?
Yeah.
- I'm gonna call over to IR.
- Okay.
Thanks.
Rhythm's not great. We gotta move.
I'm on it.
I need better exposure.
Okay, you remember how I showed
you to insert the larger blade?
Yes, I do.
No, slide it all the way.
Okay.
Loosen it up, loosen it up.
- Okay, got it.
- Okay, good.
Let's do this.
Nope, I need a better angle.
Okay. How do I know
Okay, hold on. Switch with me.
She's not gonna hold out if you
can't get this going soon.
Yeah, I gotcha, Marty.
Okay.
Here we go. Don't let go.
- Sorry, Dr. Marcel.
- Don't sweat it.
Just get a 2-0 ready for the diaphragm.
One, two, three.
- Dr. Marcel.
- Yeah.
I think you should start training
a new nurse for the hybrid room.
- What are you talking about?
- I slowed you down today.
No, hey, it was a tough case
with new equipment.
No, it was because
of the whole thing with Ethan.
It got in the way.
And there's no excuse for that.
Look, April, you're my nurse.
And you're the best.
I'm not gonna train anyone else.
Okay?
Okay.
Dr. Choi, Zach's parents are here.
He fell off the overpass?
How is he?
- Is he all right?
- Zach has a broken arm
that he's getting cast right now.
But otherwise, just some
scrapes and bruises.
Oh, thank God.
Mr. and Mrs. Brand,
I'm Dr. Charles.
I haven't actually met Zach yet,
but I was looking forward
to saying hello in a few minutes.
Psychiatry I don't understand.
I just wanna ask him
a few questions,
get a better sense of what happened.
What does that mean?
Well, uh, just that.
Wait don't tell me
you think he jumped.
Based on Dr. Choi's assessment,
it seems like there
might be a possibility.
And so I just
I wouldn't be doing my job if I didn't
say a quick hello.
- Oh, my God.
- Honey, no, no.
That's ridiculous.
It's those kids he hangs out with.
They're wild.
They were probably goofing around
and it went too far.
Mm, very possible.
But it's not so easy
to accidentally fall off
one of those things.
You know what?
I bet he got pushed
by that homeless guy.
- Yeah.
- Homeless guy?
Yeah, there's this man
who stands on that overpass
screaming all day.
He's psychotic and dangerous.
Huh. Okay.
Well, uh, I'm sure the
police will look into that.
But in the meantime, we
just wanna make sure
we're not missing anything.
Zach could've died today, okay?
The last thing he needs is to
be interrogated by a shrink.
Now, which one's his room?
Treatment 5.
Are we gonna have a hard time with them?
The dad? Yeah.
The mom? Not so sure.
Hey, Mom.
Hey.
Okay.
Michael.
Tell me.
Meet the newest
clinical device specialist
for Kender Bio Systems!
- You got the job.
- Yeah.
Joining the Kender team right here.
- Here at Med?
- Mm-hmm.
Given the size of the contract,
they need more people.
That's wonderful.
Mom, I know you always
wanted me to be a doctor.
Michael, I just wanted you
To be happy.
I know, but believe me.
Kender's training is like
going to med school.
I'll know more about the
devices than the docs.
And I'll be in the OR
right alongside them.
I'm so proud of you.
Oh, I gotta hook up
with my supervisor.
- Take you to lunch?
- It's a date.
All right.
Zach, how you doing?
I'm Dr. Charles.
He's a psychiatrist.
Legally, we have to let him talk to you.
Harris.
I'm really just here
to help, Zach,
and was hoping to ask you
a few quick questions
about what happened today.
O-okay.
Okay, so this morning,
you left your house.
And where were you headed?
Nowhere, I was just taking a walk.
Okay.
By yourself?
- Yeah.
- Okay.
Got it.
So you get to this overpass and
and what happened then?
Tell him about
that homeless man, Zach.
Like you told us.
Yeah, there was
There was this guy who was yelling
and acting crazy.
Right.
And, uh, he started shoving me,
and I tried to get out of the way,
but he he wouldn't stop, and
before I knew it, I
I lost my balance.
All right.
Well, um
you know, Zach's been
through a lot today.
Has anybody asked him if
he wants anything to eat?
- No.
- No?
Are you hungry, buddy?
How about a sandwich?
- Maybe maybe turkey.
- Okay.
Um, why don't we get going on that?
And then when we get back,
maybe we can talk a
little bit more, okay?
Nice to meet you, Zach.
Thank you.
You know his parents
coached him to say that.
Are they worried he's
gonna get arrested?
Probably.
Look, even if Zach
won't admit he jumped,
we gotta put him on a psych hold
for his own good.
Forced hold?
Taking a minor away from his parents
is a very high bar to clear, you know?
More importantly, it doesn't
really tend to work
unless you get buy-in
from the whole family.
We can't let a suicidal kid
walk out of here.
I hear you.
Look, let's see what a turkey
sandwich gets us, okay?
Moms love to see their kids get fed.
Her cervix isn't handling the
weight of the growing fetus
and is starting to open up.
She's already dilated one centimeter.
Then she's going
to lose the pregnancy.
Maybe not. I'd like to
try her on progesterone,
see if we can stop her
from dilating any farther.
Wait, is that safe?
I mean, given her increased chance
of infection and bleeding?
This is a unique situation,
due to her limited time frame.
This pregnancy is very important to her.
I'd like to try and save it.
Okay, then. Thanks.
Dr. Halstead,
I've read the literature
on cervical insufficiency with bleeding
in high-risk patients,
and trying to intervene
is not the standard of care.
Dr. Asher is the specialist.
I trust her.
She's had a drug problem.
That is irrelevant.
You're way out of line, Ms. Curry.
He's cold.
And he's getting a
little short of breath.
What's taking IR so long to
get him down for his TIPS?
They're always backed up.
I'll give them a call.
Wait, he's not even
on the schedule.
What?
I put the order in an hour ago.
Uh-uh, it says he's
been denied by DCFS.
- Can they do that?
- I don't know.
Come on.
Madeline
If this is about Auggie,
I'm sorry.
But until the Kramers
get final approval,
the state is still
Auggie's legal guardian.
He's getting worse. He needs this.
According to the Illinois
health service protocols,
TIPS is only indicated
if two other previous treatments fail.
That's just a guideline.
Every patient is different.
Which is why I've
already escalated this
to a physician mediator
appointed by the state.
That's gonna take days.
He needs this now!
Look, he's at risk for
encephalopathy, peritonitis
I understand
Madeline, he needs someone
to advocate for him.
And I'm trying my best.
There's nothing else I can do.
Dr. Lanik, do you remember
Auggie Roberts?
Foster kid. Sure.
He's getting worse.
I was wondering, could you write a note
saying that he'd do well to
receive a TIPS procedure?
Well, he's upstairs now. Get
his pediatrician to do it.
She did, but there's
some red tape.
I thought if we had a double doc,
we could convene an ethics
committee and we could
Oh, so my quick note
is turning into an afternoon
- in front of a committee?
- Dr. Lanik
Maggie, I have patients to see.
And you have a waiting room
full of them to process.
Three centimeters,
you're still progressing.
So what do we do now?
Well, we can try
increasing the progesterone,
give you a little more time to
see if we can turn this around.
- I agree.
- Are you sure?
The longer we wait,
the greater the chance of
a serious complication.
I don't believe we're there yet.
What do you think we should do?
Terminate the pregnancy.
At this point, it's the safest option.
What? No.
Ms. Curry is a medical
student, not a doctor.
I need to have this baby!
So my husband can have someone
to love him as much as I do
and someone he can love.
If I can have that
then I'm okay to die.
We'll increase your meds
and check back in a little bit.
You gonna get your nose
out of that laptop?
I'm sorry, Mom.
I just got so much prep to do.
Let me ask you, Dr.
Latham, CT surgeon
You know if he's into
anything, any hobbies?
No, not really.
We don't socialize.
A lot of CT surgeons
are into cars.
You know, vintage, racing?
Yeah, that doesn't sound
like Dr. Latham.
How about Dr. Abrams?
I hear his wife makes
some kind of power drink.
- Is he a gym rat?
- Why are you asking this?
Well, I'm gonna
be working with these guys.
It'd be nice to have
something to talk about.
Well, what about the medical
devices they'll be using?
Well, that's a given.
But you know how touchy
these surgeons can be.
Since I'm gonna be coaching them,
I want to establish a rapport.
Well, our surgeons
are at the top of their game.
I doubt if they need any coaching.
Sure.
It's just, we have a lot
of exciting new products
I'll be introducing them to.
And, you know, business is
all about relationships.
I'm sorry, Dr. Charles,
but the Brands' lawyer is here,
and apparently you can't speak to Zach
until legal gets it straightened out.
Mr. and Mrs. Brand,
just wanna let you know
the field officers have
completed their investigation.
Did they find that homeless man?
No. In fact, we couldn't
find any eyewitnesses at all.
So Zach can go?
Well, hold on.
There's still one more witness,
- the woman who was driving the car.
- Oh, for God's sake.
Are you just trying to
get my son arrested?
No, I'm trying to get him
the help he needs.
Mr. and Mrs. Brand,
if it turns out
that Zach did in fact jump,
then I would be able
Hopefully with your blessing
To put him on a hold and we
can start to address this.
He would likely be charged.
But I will personally advocate for him
and, under the circumstances,
can practically guarantee
he would not be prosecuted.
My son is not suicidal.
The driver's still unconscious.
If she wakes up, we'll
question her then.
But in the meantime, I can't
keep him here any longer.
I gotta let him go.
Thank you.
Rosado
don't let them leave just yet.
I'll be right back.
Crockett, I need you
to wake her up.
What? Why?
The boy needs our help.
All right, she's our only chance.
If she confirms he jumped,
we can give him the help he needs.
Yeah, I'm sorry. She's not ready.
Why not? Huh?
She's overbreathing the vent.
Her vitals are stable.
I just rebuilt her diaphragm
and her belly's open.
- She's not there yet.
- Come on, man.
You're telling me you can't lighten
her sedation for five minutes?
If I wake her up now, she could
still go into metabolic crisis.
And if you don't, there's
a severely troubled kid
who can't get the help he needs.
Well, I don't know
what to tell you, man.
But I'm gonna do what's
best for my patient.
If that boy tries
to kill himself again
That's on you.
His pressure's dropping.
We need more suction, blood,
and drugs to intubate.
What happened?
He was coughing, and then he just
started throwing up blood.
Esophageal varices.
The pressure must've opened one up.
Auggie, I need you to calm down, okay?
We're gonna take good care of you.
Auggie. Auggie, listen to me.
- No!
- Auggie.
- Drugs are in.
- I know this is scary.
But you're so brave.
I need you to be brave
just a little bit longer.
Can you do that for me?
- All right.
- He's out.
I'm in. Bag him.
All right, let's get him
up to the IR for a TIPS.
Let's go.
It's emergent now. No need for consent.
- What do you think?
- Dr. Asher, Dr. Halstead!
Oh, oh, okay.
She's losing the pregnancy.
Marcie, I'm sorry, but we
need to get the fetus out now.
- No, no!
- Marcie.
It's okay. It's okay.
Dr. Halstead,
please don't let my baby die.
Hannah.
Okay, we could try
what's called a cerclage.
It's a procedure to tie
your cervix closed.
But in your case, we would have to go
- in through the abdomen.
- What?
With the placement of her
placenta and her bleeding,
that would be extremely risky.
How risky?
Well, the chances of
catastrophic bleeding are high.
Not to mention the significant
cardiac risks of anesthesia.
It's true.
There's no guarantee at all
that you would survive this.
Hon, that sounds like a bad idea.
Do it.
Marcie, we can always try again.
No, we can't! You know that.
Do it!
All right, let's go. Come on.
Marcie, no!
I love you.
That's why I have to do this.
- Come on.
- Elsa, call the OR.
Dr. Halstead, this is crazy.
I'm sorry. That woman is gonna die.
That's a risk
she's willing to take.
What are you doing this
because of your feelings for Dr. Asher?
Call the OR now.
Please, it is a mistake
to send Zach home.
I believe your son is depressed.
Depressed? I hate that word.
It's just an excuse for weakness.
Our son is not weak.
Dr. Charles.
I think that we have said
everything there is to say, Dr. Choi.
Unless, of course, there's something
that either of you feel like
you you might have left out.
Her vitals look good.
How's her rhythm been?
Stable.
Dr. Marcel was talking about
lightening her sedation.
Yeah, I'll take care of it.
Don't try to talk.
You're intubated in the hospital.
You're safe.
I just need to know.
Did you see the boy who
landed on your car?
Okay.
Did he get pushed
Or did he jump?
Please.
Just think.
You were driving toward the bridge.
He was on it.
You saw him.
Did he jump?
Okay.
Mr. Brand, uh, we forgot
to validate your parking.
Come with me.
I'll be right back.
Mrs. Brand.
I think that your son needs help.
Now, I recognize
that your family situation
is complicated.
And I can't imagine how
challenging that must be
under the circumstances.
But listen. Here's my card.
I hope you will call me anytime
of the day or night.
All right?
The only thing that you don't wanna do
is let your son go through this alone.
Thank you.
Okay.
Oh, hey. How's he doing?
He finally got his procedure,
no thanks to you.
Maggie.
You know that under the circumstances,
I did everything I could.
Did you?
Because it took him hemorrhaging
for him to get this.
I can see the cervix.
Hold it gently so I can get it isolated.
Mm-hmm. It's bleeding.
It's too vascular. Laps to me.
Give her a gram of TXA.
Still bleeding. More laps.
Pressure's dropping.
We may need
to terminate the procedure.
Watch her rhythm.
She's throwing PVCs.
I think we need to call it.
Switch to a hysterotomy.
No, no, no.
Her water's still intact,
and we've got plenty
of blood in reserve.
- We can still do this.
- Are you sure?
Yes.
Okay. Talk me through it.
Release the laps so I can
get some celox in there.
Lap?
All right, it's working.
Bleeding's slowed.
Okay, hold it steady
so I can get it packed.
We did it. How's she look?
BP is coming back up,
but I still can't shake
these irregular beats.
Okay, then we're not
out of the woods yet.
Let's get ready to place the stitch.
Where is he?
Where is he?
You got a lot of nerve
interfering with my patient!
I had to. The boy needed help.
The boy. Don't kid yourself.
This wasn't about him. It was about me.
The hell it was.
You've been pushing
against me all day, man.
- Because you deserved it.
- Oh, come on!
You know what this is about.
It's about April.
No, you don't wanna go there.
No, I wanna end this.
So what's it gonna take?
You need to hit me? That it?
Huh, big man? Go on.
Take your best shot!
There it is.
There it is.
Okay, and snip.
Okay, cerclage is complete.
Ready to close.
Her pressure's dropping
and she's got ectopy.
I don't see anything.
It's here. She's hemorrhaging!
- The placenta.
- We need to terminate the pregnancy.
Trigger the MTP and convert
to a hysterotomy now.
- What do you need?
- Cut the cerclage.
She's in V-fib.
Damn it, give me a scalpel!
Start CPR!
Starting compressions.
Charged.
- Placenta out.
- Charge to 200.
Get some blood in her.
Charged.
All right, clear.
Still in V-fib.
- No pulse.
- Charge to 200.
Give her an amp of epi!
Charged.
Clear!
Come on, give another amp of epi.
Charge to 200!
Hannah.
What are you waiting for?
Shock her!
She bled out.
Time of death: 18:04.
Hannah.
Oh, boy.
You, uh
you all right?
Did Zach leave?
Uh, yeah.
You know, I was finally able
to talk to his mom alone.
Poor thing. I don't know.
She did take my card.
I don't get it.
The boy's so deeply troubled,
but the dad just doesn't wanna face it.
Well,
you know, maybe it's just
easier for him to focus
his anxiety and anger elsewhere
rather than face the
pain of looking at the
The real problem, you know?
Anyway
see you tomorrow.
Now the Amulet of Krogg.
What do I do with it?
No, it's Kroog.
Kroog.
Okay. I'll be right back.
And I'm gonna beat you.
Is he going to be okay?
Now, at least.
Good.
But I'm afraid I've got some bad news.
The foster family backed out.
They felt he would just
be too much to handle.
So he'll have
to go back on the list?
I'm afraid so.
I'm sorry.
Sharon.
Yeah?
We'll do it.
We'll foster him.
Maggie, you don't have to do
No.
We want to.
Are you sure?
Okay. I'll let DCFS know.
Mr. Burton.
I'm so sorry.
My wife made it very clear
what she wanted.
Thank you for honoring her wishes.
I always knew this day would come.
But still
it's so hard.
Hey, Hannah.
Today was a tough one.
But you made the right decision.
Yeah, but
doesn't make it any easier.
I need
I need to go to an NA meeting.
Okay.
I'll drive you.
Hey, Mom. I'll see you tomorrow.
Ah. See you tomorrow.
Dr. Lanik.
Hey, Michael.
Your son is a good salesman.
Yeah?
Yeah, he somehow knew
I was a scotch drinker.
Gave me this great
bottle of single malt.
Your eye okay?
Yeah, I'll live.
So you sure have been
making a lot of new friends
since coming over to the day shift.
Yeah. That's what I do.
Make friends.
Are you okay, Crockett?
Oh, yeah.
That lidocaine works fast.
- That's not what I meant.
- I know what you meant.
Let's just keep it at the lidocaine.
Really?
You hit him?
You know,
the thing is, April
It was so easy for me
to see Crockett as the problem.
Yeah, and I told you.
Whatever happened between
me and him in the past
Yeah. I know.
I get it now.
Because the real problem
was always right here.
Between us.
April, whatever it is you want
It isn't me.
Ethan, that's not true.
What are you
Where are you going?
What are the bags for?
- I'm gonna find a hotel.
- No!
Ethan, stop! Listen.
Just just take as long as
you need to find a new place.
What? Ethan!
Oh, God.